COLORADO DENTAL SPECIALIST PRACTICE LLC NPI 1780238311

NPI Information

COLORADO DENTAL SPECIALIST PRACTICE, LLC is a periodontics dentist in Windsor, CO. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. COLORADO DENTAL SPECIALIST PRACTICE, LLC NPI is 1780238311. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1160 W ASH ST
WINDSOR, CO
ZIP 80550-666
Phone: (970) 686-1186

The provider's authorized official is Michelle Johnson .
The authorized official title is Credentialing Specialist and has the following contact phone number (509) 315-8338.

The enumeration date for this NPI number is 7/31/2019 and was last updated on 7/31/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.